| NPI | 1659501047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANNETTE LOUISE TOOMER Owner/President 252-937-6753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL-033-065) |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2009-07-20 |